Impact of Laparoscopic Anterior Resection for Rectal Cancer with Preservation of the Left Colic Artery on Gastrointestinal Function and Postoperative Complications
JU Ran, LIU Ping, MIAO Qi
The Affiliated Chuzhou Hospital of Anhui Medical University, Anhui Chuzhou 239000, China
Abstract：Objective: To investigate the effects of laparoscopic anterior resection (LAR) with preservation of the left colic artery (LCA) on gastrointestinal function and postoperative complications in patients with rectal cancer. Methods: A retrospective analysis was conducted on the clinical data of 105 patients who underwent LAR in our hospital from January 2019 to January 2022. Based on the treatment of LCA, patients were divided into the preservation group (54 cases, preserving LCA) and the non-preservation group (51 cases, not preserving LCA). Surgical parameters, lymph node dissection, preoperative and postoperative 2-day gastrointestinal function [gastrin (GAS), motilin (MTL)], and anal function [Wexner constipation score (WCS)] were compared between the two groups. The occurrence of complications in both groups was also recorded. Results: The preservation group had a longer operation time than the non-preservation group, and the incidence of complications was lower in the preservation group (both P < 0.05). There were no significant differences in blood loss, extubation time, postoperative drainage, length of hospital stay, lymph node dissection, GAS, MTL levels, and WCS scores between the two groups (all P > 0.05). Conclusion: Preserving the LCA during LAR for rectal cancer does not affect lymph node dissection, gastrointestinal function, or anal function. Moreover, it may reduce the incidence of postoperative complications.
琚然, 刘平, 缪琦. 腹腔镜直肠癌前切除术保留左结肠动脉对患者肠胃功能及术后并发症的影响[J]. 河北医学, 2024, 30(1): 76-80.
JU Ran, LIU Ping, MIAO Qi. Impact of Laparoscopic Anterior Resection for Rectal Cancer with Preservation of the Left Colic Artery on Gastrointestinal Function and Postoperative Complications. HeBei Med, 2024, 30(1): 76-80.
2024, Vol. 30 
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